Khursheed Alam Mohammad, Hajeer Mohammad Younis, Shqaidef Abedalrahman, Alswairki Haytham Jamil, Alfawzan Ahmed Ali, Shrivastava Deepti, Chandan Srivastava Kumar, Cicciù Marco, Minervini Giuseppe
Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia.
Department of Dental Research Cell, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
Saudi Dent J. 2024 Feb;36(2):199-207. doi: 10.1016/j.sdentj.2023.10.013. Epub 2023 Oct 27.
It is imperative to analyze the forces and moments produced by various auxiliaries in order to select the optimal attachments and, eventually, to maximize the efficacy and efficiency of orthodontic therapy. Through this investigation, we aimed to highlight the impact of various aligner auxiliaries on orthodontic activity in patients undergoing orthodontic treatment on a pre/post treatment protocol basis.
After a thorough search of the online journals, a total of 482 documents were found using keywords such as "Orthodontic Treatment", "Aligner Auxiliaries", "Elastic Ligatures" and "Tooth Movement." The database research, elimination of duplicate studies, data extraction and risk of bias were performed by the authors independently. This systematic review and network -analysis included prospective studies and clinical trials to evaluate research that had looked at the impact of various aligner auxiliaries on orthodontic activity in patients undergoing orthodontic treatment.
Eight investigations of varying designs were selected for this review. The majority of investigations revealed that aligner auxiliaries significantly improve anterior root torque, rotation, and mesio-distal (M-D) movement, as well as posterior anchoring. They also significantly improved anterior root rotation. However, few studies have presented inconsistent or non-statistically significant findings.
Auxiliaries for aligners also appear to improve extrusion and other orthodontic movements, but there is insufficient evidence to support these claims. No research has examined posterior bucco-lingual expansion or tilting. Clarification of the effect of attachments and their related variables requires additional clinical investigations.
分析各种辅助装置产生的力和力矩对于选择最佳附件至关重要，最终目的是使正畸治疗的疗效和效率最大化。通过这项研究，我们旨在突出各种矫治器辅助装置对接受正畸治疗的患者在治疗前/后方案基础上的正畸活动的影响。
在对在线期刊进行全面检索后，使用“正畸治疗”“矫治器辅助装置”“弹性结扎丝”和“牙齿移动”等关键词共找到482篇文献。作者独立进行数据库研究、重复研究的排除、数据提取和偏倚风险评估。这项系统评价和网络分析纳入了前瞻性研究和临床试验，以评估研究各种矫治器辅助装置对接受正畸治疗的患者正畸活动影响的研究。
本评价选择了八项不同设计的研究。大多数研究表明，矫治器辅助装置能显著改善前牙根转矩、旋转以及近远中（M-D）移动，还有后牙支抗。它们还能显著改善前牙根旋转。然而，少数研究呈现出不一致或无统计学意义的结果。
矫治器辅助装置似乎也能改善牙齿伸长和其他正畸移动，但尚无充分证据支持这些说法。没有研究考察后牙颊舌向扩展或倾斜。需要更多临床研究来阐明附件及其相关变量的作用。
